Inspection · 2023-05-24
Licensing Inspector
Christina Jones
(540) 340-2672
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 ADMINISTRATION
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING
8VAC20-780 PHYSICAL PLANT
8VAC20-780 STAFFING AND SUPERVISION
8VAC20-780 PROGRAMS
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES
8VAC20-820 THE LICENSE
8VAC20-770 BACKGROUND CHECKS (8VAC20-770)
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted from 4:30 pm - 5:30 pm. There were 28 children in care being supervised by 4 staff. The children were observed participating in table top activities and playing outdoors. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 8 child records and 4 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.
Standard 8VAC20-780-130-A
Based on review of eight children's records it was determined that not all records contained documentation of an immunization record before the first day of enrollment. Evidence: The records for child C and child E (start dates: 05/16/22) did not have documentation of an immunization record on file.
Plan of Correction: Administration will request an up to date immunization record from the parents of child C and child E.
Standard 8VAC20-780-140-A
Based on review of eight children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The records for Child C and Child E (start dates: 05/16/2022) did not contain documentation of a physical within the first 30 days of enrollment.
Plan of Correction: Administration will request an up to date physical from the parents of child C and child E.
Standard 8VAC20-780-510-E
Based on review of medication it was determined that the center failed to follow their procedures for administering outdated medication. 1.) The emergency medication for child C had an expiration date of 11/2022. 2.) The emergency medications for child D had an expiration date of 11/2022 and 03/2023. 3.) The emergency medications for child E had an expiration date of 11/2022.
Plan of Correction: Administration will request up to date medication from the parents of Child C, D, and E.
Standard 8VAC20-780-510-I
Based on review of medication it was determined that not all procedures regarding prescription medication were followed. Evidence: The emergency medication for child A did not have a prescription label to identify the owner of the medication and instructions pertaining to dosage, frequency, and manner of administration.
Plan of Correction: Administration will request a medication label from the parents of child A.
Standard 8VAC20-780-510-P
Based on review of medication it was determined that not all medication was picked up within 14 days of the authorization form being expired. Evidence: The 10 day authorization form for the emergency medication for child B expired on 10/02/2022.
Plan of Correction: Administration will request that the parent of child B complete a new medication authorization form.
Standard 8VAC20-780-550-E
Based on observation and interviews it was determined that shelter in place drills were not practiced at least twice per year. Evidence: There have been no shelter in place drills conducted from August 2022 - May 24, 2023. The drill log from the previous school year was not available for review.
Plan of Correction: Shelter in place drills will be conducted twice per year and lockdown drills will be conducted at least once per year.
Standard 8VAC20-780-60-A-8
Based on review of eight children's records and review of the allergy list it was determined that not all records contained a written allergy care plan for children with diagnosed food allergies. Evidence: The record for child B did not contain a written allergy care plan in regards to their diagnosed food allergy.
Plan of Correction: Administration will request an allergy care plan from the parents of child B.